Individual
SHANEQUA MONIQUE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1172 HARBOUR PL, CHESAPEAKE, VA 23320-6544
(757) 681-7358
Mailing address
1172 HARBOUR PL, CHESAPEAKE, VA 23320-6544
(757) 681-7358
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
037253PT15
NC
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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